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Individual

LISBETH A W SELBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
UK DIGESTIVE DISEASES, 740 S. LIMESTONE, LEXINGTON, KY 40536-0001
(859) 323-0079
(859) 257-9287
Mailing address
2333 ALUMNI PARK PLZ, SUITE 200, LEXINGTON, KY 40517-4012
(859) 257-7910

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34077
KY
207RG0100X
Gastroenterology Physician
Primary
34077
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64270820
KY
Enumeration date
07/28/2006
Last updated
12/06/2012
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